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Chapter 58 Really Exciting
Chapter 58 Really Exciting
Skin grafting needs to be performed in the operating room, and the aseptic level in the rescue room is actually very low, not as clean as the "debridement room" for anorectal surgery.Although the skin that has been burned into eschar must be cleaned during skin grafting, cleaning also means that the deep damaged muscle tissue will be directly exposed to the air-this is extremely risky.
The burn department is a very special department, and their work is very different from other departments.The scope of work of the burn department also includes internal medicine, surgery, plastic surgery, anesthesia, life support, anti-infection, rehabilitation, etc.Moreover, in the treatment of severe burns, doctors in the burn department not only need to "understand" each of these directions, but also to be proficient.
If the emergency department is a special soldier among doctors, then the first aid and burn department is a position that can only be filled by veterans who have experienced many battles in the special forces.
Severe burns are a type of condition that needs to be treated seriously in any hospital. Since Zhao Weihong was carried to the emergency room and confirmed that he would be sent to the Fourth Central Hospital, the Burn Department of the Fourth Central Hospital has entered a state of first-level alert .Two of the three on-duty doctors entered the operating room at the same time and began to change their clothes and brush their hands, while the other on-duty doctor came to the emergency room to communicate with Sun Lien and others on the case.
In fact, the case communication should involve the participation of the patient's family members, so that when the emergency department and the burn department conduct handover consultations, the patient's family members can also directly know what risks their relatives will face.Although it is a bit cruel, it does improve the understanding of the patient's family members about the patient's situation, and can reduce the possible doctor-patient conflict risk to a certain extent.
But Zhao Weihong's daughter is really... the doctors are a little confused.Now that the district chief Ouyang has signed and approved, everyone is happy to save trouble, bypassing the district chief's wife who is still in the hospital, and start discussing the handover.
"In order to achieve the best pain relief, the patient is now in a state of opioidization." Xu Yourong presided over the handover work. After all, she is a licensed doctor and has more confidence than a newcomer like Sun Lien who has not yet passed the medical examination , It is also convenient to exchange opinions with the doctors of the burn department. "After being admitted to the hospital, we immediately gave the patient advanced airway support, and at the same time placed a jugular vein catheter, and now he has received more than 500 ml of fluid. The heartbeat dropped from 144 beats per minute to 110, and the blood pressure began to rise gradually. The vital signs are stable..." Xu Yourong paused, and continued, "When asking about the medical history just now, the family members mentioned that the patient had a small needle knife in the nasal cavity before the burn, and the length of the knife inserted into the nasal cavity was about fifteen centimeters..."
There was an exclamation in the meeting room. The emergency doctors who attended the meeting had just heard the news. They widened their eyes and unconsciously shouted what was in their hearts, "Damn?!"
"Although the patient's burn condition is still the main issue now, I strongly recommend that you seek a neurosurgery consultation as soon as possible to clarify the patient's brain injury." Xu Yourong and others continued after the exclamation subsided a little, "It is certain that, The patient's cerebellum and brainstem were not injured, otherwise we would not be able to stabilize her vital signs. However, it is necessary to find out as soon as possible how much damage this... this kind of witch doctor treatment has caused."
The atmosphere in the meeting room was a bit depressing, after a long silence, the doctor from the burn department who came to pick up the patient looked at each other and nodded, "Give the patient a preoperative injection, and prepare to send the patient to the operating room. Let's rub the old lady's back. After the burn wound is almost treated, I will transfer the bed directly to the hybrid operating room, and use the MRI there to confirm the brain injury."
Zhao Weihong's transfer situation is more complicated than that of ordinary patients.Under the action of strong opioid analgesics, Zhao Weihong's respiratory center was actually completely suppressed.Now she doesn't have any spontaneous breathing, just relying on the work of the ventilator to live.If she is to be transported to the operating room, breathing issues will have to be addressed.Although with the advancement of technology, life support equipment has shrunk from the size of the previous "whole room" to the size of "one-fifth of a room".But the size of the ventilator is still too large, and it is impossible to be sent into the elevator with the hospital bed.Not to mention that there are no power outlets for ventilators in the elevators and corridors - that's simply not realistic.
"Press it with your hands." Sun Lien hadn't transported a patient without spontaneous breathing yet. After he came out of the conference room, Sun Lien took a chance and went to ask Dr. Cao Yanhua for advice.The answer I got was as expected, "It only takes about ten minutes to press the airbag with your hands along the way."
Simple breathing air bag, commonly known as balloon.It is a hollow plastic ellipsoid about half the size of a basketball.Connect the air outlet end of the balloon to the interface of the breathing mask or directly insert it into the advanced airway interface, and then squeeze it rhythmically, it can play the same role as a ventilator.It's just that after all, this kind of squeezing is all done by hand, which is really not suitable for long-term use.But it is more than enough for short-distance transshipment.
"I thought there would be some portable rechargeable ventilator in our hospital." Sun Lien smiled embarrassedly, "After all, the hospital is a compound operating room and a helicopter platform..."
Dr. Cao Yanhua curled his lips, "You can't pursue too much advanced in everything, wouldn't that be unconventional?" Speaking of this, he suddenly remembered something, and asked mysteriously, "Do you know why our hospital Do operating rooms still have swing doors?"
Sun Lien had only been to the operating room in the morning, so he was naturally impressed by the door in the operating room that needed to be pushed with his butt, "I don't know, why?"
"The old dean of Ningyuan Hospital is the dean who just retired before your class of students entered school. He once studied in France." Doctor Cao Yanhua took the time to gossip, "In France in the 80s, the hospital equipment is very advanced. .Including the electric surgical door, which is the same as the automatic door of the spacecraft, there is a pedal at the door, and the door can be opened by stepping on it."
Sun Li'en nodded, "I heard from a few friends that they also have automatic doors like this in their hospitals."
"Then, one day, the old dean visited an operation in the operating room." Cao Yanhua continued with a low laugh, "The patient at that time was an American traveling in France, he had megacolon, and the operation's In order to reduce the bleeding, the French doctor who performed the surgery chose electrocautery."
Hmm... Today this is a chapter with flavor.
Sanguan is currently in Shanghai Pudong International Airport, using a notebook to write out today's update... It's hard work.
Ask for tickets, ask for comments, and if there is a reward, I will ask for it too.
(End of this chapter)
Skin grafting needs to be performed in the operating room, and the aseptic level in the rescue room is actually very low, not as clean as the "debridement room" for anorectal surgery.Although the skin that has been burned into eschar must be cleaned during skin grafting, cleaning also means that the deep damaged muscle tissue will be directly exposed to the air-this is extremely risky.
The burn department is a very special department, and their work is very different from other departments.The scope of work of the burn department also includes internal medicine, surgery, plastic surgery, anesthesia, life support, anti-infection, rehabilitation, etc.Moreover, in the treatment of severe burns, doctors in the burn department not only need to "understand" each of these directions, but also to be proficient.
If the emergency department is a special soldier among doctors, then the first aid and burn department is a position that can only be filled by veterans who have experienced many battles in the special forces.
Severe burns are a type of condition that needs to be treated seriously in any hospital. Since Zhao Weihong was carried to the emergency room and confirmed that he would be sent to the Fourth Central Hospital, the Burn Department of the Fourth Central Hospital has entered a state of first-level alert .Two of the three on-duty doctors entered the operating room at the same time and began to change their clothes and brush their hands, while the other on-duty doctor came to the emergency room to communicate with Sun Lien and others on the case.
In fact, the case communication should involve the participation of the patient's family members, so that when the emergency department and the burn department conduct handover consultations, the patient's family members can also directly know what risks their relatives will face.Although it is a bit cruel, it does improve the understanding of the patient's family members about the patient's situation, and can reduce the possible doctor-patient conflict risk to a certain extent.
But Zhao Weihong's daughter is really... the doctors are a little confused.Now that the district chief Ouyang has signed and approved, everyone is happy to save trouble, bypassing the district chief's wife who is still in the hospital, and start discussing the handover.
"In order to achieve the best pain relief, the patient is now in a state of opioidization." Xu Yourong presided over the handover work. After all, she is a licensed doctor and has more confidence than a newcomer like Sun Lien who has not yet passed the medical examination , It is also convenient to exchange opinions with the doctors of the burn department. "After being admitted to the hospital, we immediately gave the patient advanced airway support, and at the same time placed a jugular vein catheter, and now he has received more than 500 ml of fluid. The heartbeat dropped from 144 beats per minute to 110, and the blood pressure began to rise gradually. The vital signs are stable..." Xu Yourong paused, and continued, "When asking about the medical history just now, the family members mentioned that the patient had a small needle knife in the nasal cavity before the burn, and the length of the knife inserted into the nasal cavity was about fifteen centimeters..."
There was an exclamation in the meeting room. The emergency doctors who attended the meeting had just heard the news. They widened their eyes and unconsciously shouted what was in their hearts, "Damn?!"
"Although the patient's burn condition is still the main issue now, I strongly recommend that you seek a neurosurgery consultation as soon as possible to clarify the patient's brain injury." Xu Yourong and others continued after the exclamation subsided a little, "It is certain that, The patient's cerebellum and brainstem were not injured, otherwise we would not be able to stabilize her vital signs. However, it is necessary to find out as soon as possible how much damage this... this kind of witch doctor treatment has caused."
The atmosphere in the meeting room was a bit depressing, after a long silence, the doctor from the burn department who came to pick up the patient looked at each other and nodded, "Give the patient a preoperative injection, and prepare to send the patient to the operating room. Let's rub the old lady's back. After the burn wound is almost treated, I will transfer the bed directly to the hybrid operating room, and use the MRI there to confirm the brain injury."
Zhao Weihong's transfer situation is more complicated than that of ordinary patients.Under the action of strong opioid analgesics, Zhao Weihong's respiratory center was actually completely suppressed.Now she doesn't have any spontaneous breathing, just relying on the work of the ventilator to live.If she is to be transported to the operating room, breathing issues will have to be addressed.Although with the advancement of technology, life support equipment has shrunk from the size of the previous "whole room" to the size of "one-fifth of a room".But the size of the ventilator is still too large, and it is impossible to be sent into the elevator with the hospital bed.Not to mention that there are no power outlets for ventilators in the elevators and corridors - that's simply not realistic.
"Press it with your hands." Sun Lien hadn't transported a patient without spontaneous breathing yet. After he came out of the conference room, Sun Lien took a chance and went to ask Dr. Cao Yanhua for advice.The answer I got was as expected, "It only takes about ten minutes to press the airbag with your hands along the way."
Simple breathing air bag, commonly known as balloon.It is a hollow plastic ellipsoid about half the size of a basketball.Connect the air outlet end of the balloon to the interface of the breathing mask or directly insert it into the advanced airway interface, and then squeeze it rhythmically, it can play the same role as a ventilator.It's just that after all, this kind of squeezing is all done by hand, which is really not suitable for long-term use.But it is more than enough for short-distance transshipment.
"I thought there would be some portable rechargeable ventilator in our hospital." Sun Lien smiled embarrassedly, "After all, the hospital is a compound operating room and a helicopter platform..."
Dr. Cao Yanhua curled his lips, "You can't pursue too much advanced in everything, wouldn't that be unconventional?" Speaking of this, he suddenly remembered something, and asked mysteriously, "Do you know why our hospital Do operating rooms still have swing doors?"
Sun Lien had only been to the operating room in the morning, so he was naturally impressed by the door in the operating room that needed to be pushed with his butt, "I don't know, why?"
"The old dean of Ningyuan Hospital is the dean who just retired before your class of students entered school. He once studied in France." Doctor Cao Yanhua took the time to gossip, "In France in the 80s, the hospital equipment is very advanced. .Including the electric surgical door, which is the same as the automatic door of the spacecraft, there is a pedal at the door, and the door can be opened by stepping on it."
Sun Li'en nodded, "I heard from a few friends that they also have automatic doors like this in their hospitals."
"Then, one day, the old dean visited an operation in the operating room." Cao Yanhua continued with a low laugh, "The patient at that time was an American traveling in France, he had megacolon, and the operation's In order to reduce the bleeding, the French doctor who performed the surgery chose electrocautery."
Hmm... Today this is a chapter with flavor.
Sanguan is currently in Shanghai Pudong International Airport, using a notebook to write out today's update... It's hard work.
Ask for tickets, ask for comments, and if there is a reward, I will ask for it too.
(End of this chapter)
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